Ações dos agentes comunitários de saúde diante do usuário da estratégia saúde da família com estados depressivos no Município de Abaiara-CE-BR
Brazilian health public assistance is going through two Reforms, Sanitary and Psychiatric, and through these the assistance is guaranteed in the three levels: primary, secondary and tertiary. Thus, mental health assistance should be offered since preventive cares until the ones that demand larger te...
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| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/14711 |
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| Resumo: | Brazilian health public assistance is going through two Reforms, Sanitary and Psychiatric,
and through these the assistance is guaranteed in the three levels: primary, secondary and
tertiary. Thus, mental health assistance should be offered since preventive cares until the
ones that demand larger technological apparatus. Programs like Health Community Agent's
Program (HCAP) and Family Health Strategy (FHS), besides increasing the services
coverage, have been making possible the system reorientation in the meaning of
integrality, universalization and equity. Thus, united intervention of mental health team
and FHS can offer several benefits to the population, providing assistance and follow-up to
patients with mental disorder. It was aimed to assess health community agents facing the
user of Family Health Strategy in depressive state. This quanti-qualitative study took place
in the municipal district of Abaiara-CE. Semi-structured interview was applied with health
community agents and Beck Depression Inventory with the users registered in Family
Health Strategy. It was verified that among the 64 users interviewed, 12.5% didn't present
symptoms of depression, 10.9% presented symptoms of light depression, 14.1% symptoms
of moderate depression and 62.5% symptoms of serious depression. For the 22 health
community agents interviewed, they all reported the existence of people with symptoms of
depression in their personal micro-areas, being difficult to work with them, once the FHS
team is not qualified to work with mental health problems. It was verified that the
Municipal district doesn't have specialized professionals, making difficult the routing and
treatment. Based on these results, it was concluded that in spite of the articulation of
mental health with FHS is necessary and benefactor to the population, it still doesn't exist,
worsening the situation, mainly in small Municipal districts, once they don't have mental
health services. Thus, the population is exposed and without follow-up, which allows the
identification of installed diseases and with gravity, like depression, because there are no
prevention and control activities. It is recommended, due the extreme need, the elaboration
and implantation of a mental health program in these municipal districts, articulated with
FHS |
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